In case of workplace
injury, contact
Workers Compensation
Workers' Compensation
The Grossmont-Cuyamaca Community College District Workers’ Compensation Program administers and coordinates services related to occupational injuries and illnesses for District employees. The program is dedicated to ensuring compliance with state workers’ compensation regulations, facilitating access to benefits and medical treatment, and partnering with departments to support employee recovery, workplace safety, and return-to-work initiatives.
For more information or for assistance with the forms and documents below, please
reach out to:
Lorena.Carpenter@gcccd.edu
Nancy.Hobbs@gcccd.edu
Katie.Borts@gcccd.edu
Use the links below for more information. Some links require Adobe Reader to open.
Workers' Compensation Quick Reference
Step 1 - Assess the situation: if the injury is an emergency, Call 911. If the Injury is
not an emergency, employee should contact company Nurse at 1-877-806-9965
Step 2 - Human Resources will give out DWC-1 Form and District Injury/Illness Report Form,
linked below.
Step 3 - If Company Nurse recommends a referral to the industrial clinics, employee should
go to one of our pre-approved frontline provider locations whenever possible.
Step 4 - Employee should turn in a work status report to their supervisor and Human Resources.
Step 5 - Employee should complete the workers' compensation forms provided by Human Resources.
GCCCD Workers' Compensation Quick Reference
Workers' Compensation Carrier: Keenan
Workers' Compensation FlowCharts
- GCCCD Workplace Injury Reporting Procedures Flowchart
- Workers' Compensation Claim Process
- Process for Delayed/Denied Claims
- Process for Accepted Claims
Workers' Compensation Information
Notice to Employees (English) (Spanish)
Pre-Designation of Personal Physician (Spanish)
WC Frontline Providers
Frontline Providers:
- Kaiser On-the-Job: 6911 Convoy Court, 3rd floor, Suite 316, San Diego, CA 92111
- Sharp Rees-Stealy: Grossmont Medical Plaza, 5525 Grossmont Center Dr. Ste. 601, La Mesa, CA 91942
- Concentra: 7862 El Cajon Blvd. La Mesa, CA 91942 OR 5575 Ruffin Road, San Diego, CA 92123 (open 24/7)
Forms Needed For A Claim
Workers' Compensation Claim Form (DWC 1)
District Injury/Illness Report
First Fill Prescription Card (English and Spanish)